Individual provider Active NPI

Ana Gabriela Serrano Lopez, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1801562442
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
023602 Issued in PR
Practice address
2197 Blvd Luis a Ferre
Suite #103
Ponce, PR 00717-0636
Phone
(787) 844-3065
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 023602 PR Primary

Addresses

Primary practice location

2197 Blvd Luis a Ferre
Suite #103
Ponce, PR 00717-0636

Mailing address

#2197 Blvd Luis a Ferre
Suite #103
Ponce, PR 00717
Phone (787) 987-8822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410000544 PR Practitioner - General Practice 9537507272 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023602PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonati Medica LLC CurrentSince Dec 20, 2025 Accepting new patients

Locations

2197 Blvd Luis a Ferre
Ste 103
Ponce, PR 00717
Phone (787) 844-3065

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1801562442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#2197 BLVD LUIS A FERRE",
            "address_2": "SUITE #103",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-987-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2197 BLVD LUIS A FERRE",
            "address_2": "SUITE #103",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170636",
            "telephone_number": "787-844-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO LOPEZ",
        "first_name": "ANA",
        "middle_name": "GABRIELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.